Here’s the next installment in our series of short cases. This was a film from a nine year old post haematopoietic stem cell transplant for relapsed AML. The patient was one month post transplant with no evidence of AML but still transfusion dependent and recent treatment for acute graft verses host disease and had deteriorating renal function.

We’d be interested in your thoughts! By the way – the second picture was taken in the thick end of the smear.

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #teamhaem for more information.